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Contact Information

FAMIKA L ROBERTSON, PH.D, SAE/SAP,
4901 OLDE TOWNE PKWY STE 165
MARIETTA, GA30068-5645
 Phone: 833-227-2489
 Fax: 770-415-7200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for FAMIKA L ROBERTSON · (Female)

NPI # 1427448836
Status Active
Credentials PH.D, SAE/SAP,
Entity Individual
Enumeration date 01/23/2015
Last updated 12/24/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 802342
  • VA License # 0710102892
  • VA License # 0732008394
  • GA Other 3058-R CAC-II GEORGIA
  • GA Other 4567 CISD TRAUMA SPECIALIST
  • GA Other 20618 DOT-SUBSTANCE ABUSE PROFESSIONAL
  • GA Other CERT 683 LIFE COACH
  • GA Other NAMS1 NATIONAL ANGER MANAGEMENT SPECIALIST
  • GA Other 4567 NRC SUBSTANCE ABUSE EXPERT
  • NC Other CSAC-13850 CERTIFIED SUBSTANCE ABUSE COUNSELOR
  • NC Other ICADC-802342 IC/RC ALCOHOL DRUG COUNSELOR
  • VA Other CSAC-0710102892 CERTIFIED SUBSTANCE ABUSE COUNSELOR
  • VA Other 0732008394 QUALIFIED MENTAL HEALTH PROFESSIONAL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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